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This randomized, parallel-group clinical trial evaluates whether father-infant skin-to-skin contact improves bonding among healthy term newborns and their fathers in Türkiye. Fathers are randomly assigned to one of three arms that differ in the timing and frequency of skin-to-skin contact (early one-time contact, frequent contact, or standard care). Bonding is assessed with a validated paternal-infant bonding scale at prespecified postpartum time points. The study enrolls fathers of newborns delivered in university and state hospital obstetrics units.
Rationale: Early skin-to-skin contact may facilitate father-infant bonding; experimental evidence in Türkiye is limited.
Design: Interventional, randomized, parallel assignment with three arms:
Assessments: Paternal-Infant bonding is measured using a validated bonding scale at baseline and at a prespecified postpartum time point (e.g., 3 months). Additional baseline questionnaires are collected.
Analysis plan (summary): Group comparisons and exploratory associations will be evaluated per protocol using appropriate statistical tests; full statistical details are provided in the Results section upon completion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fathers who received standard care (SC): | No Intervention | No intervention was given to the fathers in this group according to their order of participation in the study. In the second interview with these fathers, after the data were collected, they were given information and brochures about skin-to-skin contact. | |
| Early skin-to-skin contact group (ESSC): | Experimental | Fathers in this group, in order to participate in the study, were allowed to have skin-to-skin contact with their babies only once and for at least 15 minutes within the first 4 hours after birth, after the mother and baby had skin-to-skin contact after the baby was born and the baby was breastfed. If the father had any questions about skin-to-skin contact, they were given an explanation, and their questions were answered. |
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| Frequent skin-to-skin contact group (FSSC): | Experimental | Fathers in this group, according to the order of participation in the study, were provided skin-to-skin contact with their babies for at least 15 minutes within the first 4 hours after birth, after which skin-to-skin contact was established between the mother and baby after the baby was born and the baby was breastfed and within the first 4 hours after birth. However, skin-to-skin contact with babies by fathers in this group was repeated at least once a day for at least 15 minutes in the hospital until the baby was discharged. After the mother and baby were discharged, fathers were asked to continue skin-to-skin contact at home for at least 15 minutes at least once a day or at least six days a week. In addition, a brochure prepared in accordance with the literature was given to these fathers. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin to Skin contact | Behavioral | Fathers are briefed on skin-to-skin: what it is/isn't, why it matters, how to do it, and benefits for father, mother, and baby. Keep the room quiet; close windows to avoid drafts. Do not perform if the father is sleeping. Smokers must not perform while smoking and should do it before smoking when possible. After mother-infant skin-to-skin and breastfeeding, start father-infant contact within four hours of birth. If clothing is unsuitable, provide a surgical gown. Place the diapered infant upright on the father's bare chest. The father supports shoulders and back, maintains eye contact, speaks softly, and touches the baby. Cover both with a blanket; only mother, father, and infant remain, with the researcher silent. Continue at least 15 minutes; end if the father requests care or the infant needs care (diapering, dressing, breastfeeding). Repeat once for the early-contact group and at least daily until discharge for the frequent-contact group; on discharge, remind daily home practice. |
| Measure | Description | Time Frame |
|---|---|---|
| Paternal-Infant Attachment Scale (PIAS) Total Score at 3 Months Postpartum | Assessed with the Paternal-Infant Attachment Scale (PIAS). The PIAS has 19 items in three subscales and yields a total score from 19 to 95 points; higher scores indicate stronger father-infant bonding. The PIAS is self-reported by fathers at the postpartum assessment. | 3 months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Patience and Tolerance Subscale Score (PIAS) at 3 Months Postpartum | Subscale of the PIAS; higher scores indicate stronger bonding. Administered at the postpartum assessment. | 3 months postpartum |
| Pleasure in Interaction Subscale Score (PIAS) at 3 Months Postpartum |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Çanakkale Onsekiz MArt University Hospital | Çanakkale | 17100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41258333 | Derived | Yurdal NEO, Ozsoy S. Effect of skin to skin contact on father infant bonding in a randomized controlled trial. Sci Rep. 2025 Nov 19;15(1):40728. doi: 10.1038/s41598-025-24589-1. |
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The datasets generated and/or analysed during the current study are available on the researcher's computer. The datasets used and/or analysed during the current study are available from the corresponding author upon reasonable request.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 18, 2023 | Aug 29, 2025 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jan 18, 2023 | Aug 29, 2025 | ICF_001.pdf |
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Subscale of the PIAS; higher scores indicate stronger bonding. Administered at the postpartum assessment. |
| 3 months postpartum |
| Affection and Pride Subscale Score (PIAS) at 3 Months Postpartum | Subscale of the PIAS; higher scores indicate stronger bonding. Administered at the postpartum assessment. | 3 months postpartum |
| Frequency of Father-Infant Skin-to-Skin Contact (days/week) | Number of days per week fathers report skin-to-skin contact with their infants, captured by questionnaire at the postpartum assessment. | Up to 3 months postpartum |
| Daily Minutes of Father-Infant Skin-to-Skin Contact | Average daily minutes of skin-to-skin contact reported by fathers at the postpartum assessment. | Up to 3 months postpartum |